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Instructions Please read the information on the reverse side of this form to determine if you meet the criteria for an adjustment to the effective date of your official withdrawal or leave of absence.

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What is petition to adjust effective?

A petition to adjust effective is a legal document filed to request a change in the effective date of a certain action or decision.

Who is required to file petition to adjust effective?

Anyone who wishes to change the effective date of an action or decision is required to file a petition to adjust effective.

How to fill out petition to adjust effective?

To fill out a petition to adjust effective, you need to provide the necessary information requested on the form, such as the current effective date, desired effective date, reasons for the adjustment, and any supporting documentation.

What is the purpose of petition to adjust effective?

The purpose of a petition to adjust effective is to request a change in the effective date of an action or decision to better align with certain circumstances or requirements.

What information must be reported on petition to adjust effective?

The information that must be reported on a petition to adjust effective includes the current effective date, desired effective date, detailed explanation of the reasons for the adjustment, supporting documents, and any additional information required by the relevant authority.

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